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British mother-of-two Lynne Spalding, whose body was discovered in the stairway of a hospital in America probably died of a chemical imbalance due to complications from chronic alcohol abuse, San Francisco assistant medical examiner Ellen Moffat said in a new report.

Peterlee-born Ms Spalding, who had lived in the US for 23 years, was confused and delirious on the day she disappeared, not aware of what day it was or why she was in hospital, the notes added.